用相位对比与深度去噪,将乳腺成像辐射剂量降低16倍以上。
Towards order of magnitude X-ray dose reduction in breast cancer imaging using phase contrast and deep denoising
- 结合相位对比成像与深度学习去噪,实现低剂量成像。
- 在真实乳腺样本上实现16倍以上剂量降低,图像质量无损。
- 适合追求高精度、低辐射的乳腺癌早期筛查研究者。
乳腺癌是美国目前最常见的癌症类型,早期发现对成功治疗至关重要。目前主要筛查手段为X射线钼靶和数字乳腺断层摄影,但存在灵敏度与特异性不足的问题,且常因乳房压迫引起患者不适。乳腺计算机断层扫描(CT)是潜在替代方案,但需较高辐射剂量以获得高质量图像。由于乳腺组织高度放射敏感,剂量降低尤为重要。相位对比计算机断层扫描(PCT)已被证明可在更低剂量下生成更高质量图像,且无需乳房压迫。本研究证实,在使用PCT成像完整新鲜切除的乳腺样本时,基于深度学习的图像去噪技术可使辐射剂量进一步降低16倍或更多,且图像质量未下降。通过空间分辨率、对比噪声比等客观指标以及由经验丰富的医学影像专家和放射科医生进行的观察者研究评估了图像质量。该工作为未来在专用同步辐射设施中开展活体患者PCT乳腺癌成像奠定了基础。
原文摘要 · Abstract (English)
Breast cancer is the most frequently diagnosed human cancer in the United States at present. Early detection is crucial for its successful treatment. X-ray mammography and digital breast tomosynthesis are currently the main methods for breast cancer screening. However, both have known limitations in terms of their sensitivity and specificity to breast cancers, while also frequently causing patient discomfort due to the requirement for breast compression. Breast computed tomography is a promising alternative, however, to obtain high-quality images, the X-ray dose needs to be sufficiently high. As the breast is highly radiosensitive, dose reduction is particularly important. Phase-contrast computed tomography (PCT) has been shown to produce higher-quality images at lower doses and has no need for breast compression. It is demonstrated in the present study that, when imaging full fresh mastectomy samples with PCT, deep learning-based image denoising can further reduce the radiation dose by a factor of 16 or more, without any loss of image quality. The image quality has been assessed both in terms of objective metrics, such as spatial resolution and contrast-to-noise ratio, as well as in an observer study by experienced medical imaging specialists and radiologists. This work was carried out in preparation for live patient PCT breast cancer imaging, initially at specialized synchrotron facilities.
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